| NPI | 1235719568 |
|---|---|
| Doing Business As | CARE STATION MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MINTZ Director Of Finance 732-369-5967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |